I have been suffering with tmj pain for over 5 years. I've been wearing splint at night and was told it is not good for permanent use. I still get headaches and facial pain as well as popping when I one my mouth. Any suggestions about what works to relieve pain without surgery or medications?
I am wearing a hard acrylic splint for upper and one for lower teeth. My general dentist prescribed something that fit over my two front teeth and caused severe pain the next morning and day. Then I went to a TMJ specialist who trained at the Mayo Clinic and he swears by the splint he prescribed to me. The claim was that it relaxes my jaw muscles at night and helps with the pain the next day; however, I am still in pain the following day. Do I need a prescription to see a Physical Therapist? Are there one's specializing in TMJ? Also, do you know of any TMJ specialists in the Central Florida area? I appreciate the feedback.
Last edited by Want relief; 08-19-2012 at 08:03 PM.
The splint that goes over your two front teeth is probably some kind of NTI. I tried that kind twice with two different TMJ specialists and they were horrible. I had intense pain with them and refused to use them any more. I think the longest I lasted with either one was 2 weeks. My current TMJ specialist crafted other splints that were much more successful for me.
I found that each dentist who treats TMJD have their own philosophies. I went to one who treated 100% tmj patients and taught at a large university. His approach was completely wrong for me. I had to seek out someone else who worked met my needs better.
Why do you have both upper and lower splints? What kinds of splints are they? (How many teeth do they cover? Are they flat or bumpy? Are they for protection or treatment?) When do you wear them?
The need for a referral to a PT depends on your insurance. Most require it, but not all. I got a referral from my TMJ dentist. The tricky part is finding a properly trained PT who can treat TMJD. My referral was for cervicalgia and myofascial pain. Those were covered by my medical insurance where direct TMJ isn't.
I wear one that goes over both upper and lower all teeth. It has worked fine because I was grinding my teeth and probably wearing them down badly. I can go 2 weeks without the headaches and its tolerable. I checked the thread and did not find any Doctors in my area. I really want to stay away from an Orthodontist trained in TMJ because it was an Orthodontist that originally referred me to the TMJ specialist (in an Oral Surgeon's office) Orthodontist said that braces would not work for me due to pain. Also I have read that Orthodontics and Occlusal Adjustments are not reversible so these treatment options should be avoided.